King's Corner Video Call Registration Form
***Must Be 16 Years Old or Above To Be On The Call***

Thank you for your interest in attending the King's Corner Video Calls occurring on April 1st, 8th, 15th, and 22nd from 10am-12pm PST (1pm-3pm EST). Be sure to complete this registration form with as much detail as possible.

Overview: Taharka Anderson will be facilitating free weekly video calls over the month of April for Black men and boys (16+) to build community, reflect on current events, share stories, and build networks of support. Only 20 Slots Available! First come, first served!

Note: Admittance is allowed on a first come first serve basis. If there is still enough space to accommodate you, you will be emailed details to join the call 24-48 hours in advance.

If you have any additional questions, please email us at info@taharkaanderson.com.

All King's Corner participants will be added to your newsletter mailing list.

***Be sure to follow us on all of our platforms***
-Facebook: www.facebook.com/kingtaharkaanderson
-Instagram/Twitter: @TaharkaAnderson
-Website: www.taharkaanderson.com
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First & Last Name *
Email Address (Video Call Link Will Be Emailed Here) *
What city and state will you be joining the video call from? *
Age (Must Be 16 Years Old or Above) *
School or Organizational Affiliation
What is the highest level of education you have completed? *
What do you do for a living?
Which date(s) are you interested in attending the King's Corner Video Calls?
How did you find out about the King's Corner Video Calls? *
What do you hope to gain from attending? *
I can commit to completing the post-evaluation. *
Is there anything else you would like us to know?
Submit
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